Mea Kākau: Gregory Harris
Lā O Ka Hana: 12 Apelila 2021
HōʻAno Hou I Ka Lā: 19 Nowemapa 2024
Anonim
Examination 5: Thyroid Examination OSCE - Talley & O’Connor’s Clinical Examination
Wikiō: Examination 5: Thyroid Examination OSCE - Talley & O’Connor’s Clinical Examination

Anter

ʻAʻole pono e hoʻohana wale ʻia ʻo Levothyroxine (kahi thyroid hormone) a i ʻole me nā ʻano lāʻau ʻē aʻe e mālama ai i ka momona a i ʻole ke kumu o ka pohō kaumaha.

Hoʻokumu paha ʻo Levothyroxine i nā pilikia koʻikoʻi a hoʻoweliweli paha ke hāʻawi ʻia i nā kaona nui, keu hoʻi ke lawe ʻia me nā amphetamines e like me amphetamine (Adzenys, Dyanavel XR, Evekeo), dextroamphetamine (Dexedrine), a me methamphetamine (Desoxyn). E haʻi i kāu kauka inā loaʻa iā ʻoe kekahi o nā ʻōuli aʻe ke lawe nei ʻoe i ka levothyroxine: ka ʻeha o ka umauma, ka puʻuwai puʻuwai wikiwiki a i ʻole kūleʻa paha, haʻalulu ʻole o kahi ʻāpana o ke kino, hopohopo, hopohopo, huhū, paʻakikī e hiamoe a hiamoe paha, pōkole hanu, a i ʻole sweating nui.

E kamaʻilio me kāu kauka e pili ana i nā pilikia e pili ana i kēia lāʻau.

Hoʻohana ʻia ʻo Levothyroxine e mālama i ka hypothyroidism (kahi e hana ʻole ai ka pona thyroid i ka nui o ka homoneoneone). Hoʻohana pū ʻia ia me ke ʻoki a me ka iodine radioactive therapy e mālama ai i ka maʻi ʻaʻai thyroid. Aia ʻo Levothyroxine i kahi papa o nā lāʻau i kapa ʻia he hormones. Hana ia ma ke kuapo ʻana i ka hormone thyroid i hana maʻamau ʻia e ke kino.


Me ka ʻole o ka hormone thyroid, ʻaʻole hiki i kou kino ke hana pono, a ʻo ia ka hopena o ka ulu maikaʻi ʻole, ʻōlelo lohi, nele i ka ikaika, luhi nui, paʻa paʻa, loaʻa ʻana o ke kaumaha, nalowale lauoho, maloʻo, ʻili mānoanoa, hoʻonui i ka ʻike i ke anuanu, ʻeha a me nā ʻeha o nā mākala kaumaha a i ʻole kaulike nā manawa o ka menstrual, a me ke kaumaha. Ke lawe pololei ʻia, hoʻohuli ʻo levothyroxine i kēia mau ʻōuli.

Hele mai ʻo Levothyroxine ma ke ʻano he papa a me kahi capsule e lawe ai i ka waha. Lawe ʻia hoʻokahi manawa i ka lā ma ka ʻōpū hakahaka, 30 mau minuke i 1 hola ma mua o ka ʻaina kakahiaka. E hāhai pono i nā ʻōkuhi i kāu lepili kuhikuhi, a nīnau i kāu kauka a kauka paha e wehewehe i kahi ʻāpana āu i maopopo ʻole ai. Lawe pololei i ka levothyroxine e like me ke kuhikuhi. Mai lawe i ka mea ʻoi aku a liʻiliʻi paha o ia mea a lawe pinepine iā ia ma mua o ka mea i kauoha ʻia e kāu kauka.

Pau i nā capsule; mai nahu a paopao iā lākou. Mai wehe i ka capsule mai ka pūʻolo a mākaukau ʻoe e lawe.

E lawe i nā papa me ke kīʻaha piha o ka wai a paʻa paha lākou i loko o kou puʻu a i ʻole ke kumu e ʻānai ai a gagging paha.


Inā ʻoe e hāʻawi nei i ka levothyroxine i kahi pēpē, keiki, a makua ʻole i hiki ʻole ke ale i ka papapā, haki a kāwili iā ia i 1 i 2 mau teaspoons (5 a 10 mL) o ka wai. Hoʻohui wale i nā papa i wāwahi ʻia me ka wai; mai hoʻohuihui iā ia me ka meaʻai a me ka haʻuki pēpē soybean. E hāʻawi koke i kēia hui ʻana e ka puna a i ʻole ka dropper. Mai mālama ia mea no ka hoʻohana ma hope.

E hoʻomaka paha kāu kauka iā ʻoe ma kahi haʻahaʻa o ka levothyroxine a hoʻonui iki i kāu lāʻau.

Mālama ʻo Levothyroxine i ka hypothyroidism akā ʻaʻole ia e hoʻōla iā ia. E hala paha i mau pule ma mua o kou ʻike ʻana i kahi loli o kāu mau hōʻailona. E hoʻomau i ka lawe ʻana i ka levothyroxine ʻoiai inā maikaʻi ʻoe. Mai hōʻoki i ka lawe ʻana i ka levothyroxine me ke kamaʻilio ʻole ʻana me kāu kauka.

Kau ʻia kēia lāʻau no nā hoʻohana ʻē aʻe; e noi i kāu kauka a kauka paha no ka ʻike hou aku.

Ma mua o ka lawe ʻana i ka levothyroxine,

  • e haʻi aku i kāu kauka a me ka kauka inā he maʻi ʻoe i ka levothyroxine, ka hormone thyroid, nā lāʻau ʻē aʻe, a i ʻole kekahi o nā mea hana i nā papa levothyroxine a i ʻole nā ​​capsule. E noi i kāu kauka lāʻau no kahi papa inoa o nā mea hoʻohui.
  • e haʻi i kāu kauka a me ka mea kauka lāʻau he aha nā lāʻau lapaʻau a me nā lāʻau ʻole i kuhikuhi ʻia, nā wikamina, nā mea hoʻopihaʻai, a me nā huahana lāʻau āu e lawe nei a hoʻolālā paha e lawe E hōʻoia e haʻi i kekahi o nā mea aʻe a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT: amiodarone (Nexterone, Pacerone); androgens e like me nandrolone a me testosterone (Androderm); kekahi mau antacids i loaʻa i ka aluminium a me ka magnesium (Maalox, Mylanta, a me nā mea ʻē aʻe); nā anticoagulants ('nā mea hōʻemi koko') e like me heparin a i ʻole warfarin (Coumadin, Jantoven); beta-blockers e like me metoprolol (Lopressor), propranolol (Inderal, Innopran), a timolol paha; nā lāʻau no ke kanesa e like me asparaginase, fluorouracil, a me mitotane (Lysodren); carbamazepine (Carbatrol, Equetro, Tegretol, a i ʻole Teril); clofibrate (Atromid); corticosteroids e like me dexamethasone; nā lāʻau no ke kahe a me nā hōʻailona anu a i ʻole no ka pohō kaumaha; digoxin (Lanoxin); nā lāʻau i loko o ka estrogen e like me ka hoʻowalewale hormonona a i ʻole nā ​​kaola pale hormonal (nā lāʻau kaohi hānau, nā pāhoʻi, nā apo, nā implants, a i ʻole nā ​​injection); furosemide (Lasix); ka insulin a i ʻole nā ​​lāʻau ʻē aʻe e mālama i ka maʻi diabetes; maprotiline; mefenamic acid (Ponstel); methadone (Methadose); niacin; orlistat (Alli, Xenical); phenobarbital; phenytoin (Dilantin, Phenytek); nā mea pale proton e like me esomeprazole (Nexium), lansoprazole (Prevacid), a me omeprazole (Prilosec); rifampin (Rifater, Rifamate, Rifadin); sertraline (Zoloft); simethicone (Phazyme, Ke Kinoea X); sucralfate (Carafate); tamoxifen (Soltamox); nā mea kāpae tyrosine kinase e like me cabozantinib (Cometriq) a i ʻole imatinib (Gleevac); a me nā antidepressants tricyclic e like me amitriptyline (Elavil).Nui paha nā lāʻau ʻē aʻe e launa pū paha me ka levothyroxine, no laila e ʻike pono i kāu kauka e pili ana i nā lāʻau a pau āu e lawe nei, a ʻo nā mea hoʻi i hōʻike ʻole ʻia ma kēia papa inoa. Pono paha kāu kauka e hoʻololi i nā kaha o kāu mau lāʻau a nānā pono iā ʻoe no nā hopena ʻaoʻao.
  • inā ʻoe e lawe i ka calcium carbonate (Tums) a i ʻole ferrous sulfate (mea hoʻohui hao), e lawe ma ka liʻiliʻi he 4 mau hola ma mua a i ʻole 4 mau hola ma hope o kou lawe ʻana i ka levothyroxine. Inā ʻoe e lawe i ka cholestyramine (Prevalite), colesevelam (Welchol), colestipol (Colestid), sevelamer (Renvela, Renagel), a i ʻole sodium polystyrene sulfonate (Kayexalate), e lawe ma kahi o 4 mau hola ma hope o kou lawe ʻana i ka levothyroxine.
  • e haʻi i kāu kauka inā loaʻa ʻole ka adrenal lawa (ke ʻano a ʻaʻole hana pono nā adrenal glands i kekahi mau hormona e pono ai no nā hana o ke kino koʻikoʻi). E haʻi paha kāu kauka iā ʻoe mai lawe i ka levothyroxine.
  • e haʻi i kāu kauka inā ua loaʻa koke iā ʻoe ka radiation radiation a i ʻole inā ua loaʻa ʻoe i ka maʻi ʻaʻai; paakiki o nā aʻa (atherosclerosis); nā pilikia kahe o ke kahe a i ʻole ka anemia; porphyria (ke ʻano e kūkulu ai nā mea ʻino i loko o ke koko a hana i nā pilikia me ka ʻili a i ʻole ʻōnaehana). osteoporosis (kahi ʻano e lahilahi a nāwaliwali nā iwi a haki maʻalahi); pituitary gland (kahi liʻiliʻi i ka lolo) nā maʻi; i kekahi ʻano hana e paʻakikī iā ʻoe e ale; aiʻole ka puʻuwai, puʻuwai, a i ʻole maʻi ate.
  • E haʻi i kāu kauka inā hāpai ʻoe, e hoʻolālā e hāpai a i ʻole hānai waiu. Inā hāpai ʻoe i ka lawe ʻana iā levothyroxine, e kāhea i kāu kauka.
  • inā he ʻoki ʻoe, e like me ke kaha ʻana o nā niho, e haʻi i ke kauka a i ʻole kauka niho paha e lawe nei ʻoe i ka levothyroxine.

ʻO kekahi mau meaʻai a me nā mea inu, ʻo ia hoʻi nā mea i loaʻa i ka soybeans, walnuts, a me nā fiber dietary, e hoʻopili paha i ka hana a levothyroxine iā ʻoe. E kamaʻilio me kāu kauka ma mua o ka ʻai ʻana a inu paha i kēia mau meaʻai.


E kamaʻilio me kāu kauka e pili ana i ka ʻai ʻana i ka huaʻōlau a me ka inu ʻana i ka wai momona a ke lawe nei ʻoe i kēia lāʻau.

E lawe i ka lāʻau i hala i kou wā e hoʻomanaʻo ai. Eia nō naʻe, inā kokoke i ka manawa no ka mahele hope aʻe, e lele i ka lāʻau i hala a hoʻomau i kāu papa hana maʻamau. Mai lawe i kahi lāʻau pālua e pani no kahi mea i hala.

Hoʻokumu paha ʻo Levothyroxine i nā hopena ʻaoʻao. E haʻi i kāu kauka inā koʻikoʻi kekahi o kēia mau ʻōuli a mai hele aku paha:

  • loaʻa kaupaona a pohō paha
  • ʻeha poʻo
  • ka luaʻi
  • pāhoehoe
  • loli i ka makemake
  • fiva
  • nā hoʻololi i ka pōʻai menstrual
  • ʻike i ka wela
  • poho lauoho
  • ʻeha pū
  • ʻūhā wāwae

Hiki i kekahi o nā hopena ʻaoʻao ke koʻikoʻi. Inā ʻike ʻoe i kekahi o kēia mau ʻōuli a i ʻole nā ​​mea i helu ʻia i ka ʻARlelo Aʻo IMPORTANT, e kāhea koke i kāu kauka a i ʻole e kiʻi i ka lāʻau olakino pilikia

  • ka hanu, ka hū ʻana, ka hives, ka aniani, ka ʻehu, ka pīpī ʻana, ka ʻeha o ka ʻōpū, kahe, a i ʻole ka pehu ʻana o nā lima, nā wāwae, nā kuʻekuʻe wāwae, a me nā wāwae lalo.

Inā ʻoe e ʻike i kahi hopena koʻikoʻi, e hoʻouna ʻoe a i ʻole kāu kauka i kahi hōʻike i ka papahana hōʻike ʻino a MedWatch Adverse Event Food (FDA) ma ka pūnaewele (http://www.fda.gov/Safety/MedWatch) a i ʻole kelepona. 1-800-332-1088).

E mālama i kēia lāʻau i loko o ka pahu i komo ai, pani paʻa ʻia, a ʻaʻole hiki i nā kamaliʻi. E mālama iā ia i ka mahana wela o ka lumi a ma kahi o ka wela a me ka momona (ʻaʻole i ka lua.

He mea nui e mālama i nā lāʻau āpau mai ka maka a hiki i nā keiki e like me nā ipu (e like me nā minder pill i kēlā me kēia pule a me nā mea no nā kulu maka, nā kalima, nā pākuʻi, a me nā inhalers) ʻaʻole pale keiki a hiki i nā keiki ʻōpio ke wehe maʻalahi iā lākou. No ka pale ʻana i nā keiki ʻōpio mai ka lāʻau make, laka mau i nā pāpale palekana a kau koke i ka lāʻau i kahi palekana - kahi i luna a mamao a mai ko lākou alo a hiki. http://www.upandaway.org

Pono e hoʻolei ʻia nā lāʻau i koi ʻole ʻia i nā ala kūikawā e hōʻoia i ka hiki ʻole i nā holoholona, ​​nā keiki, a me nā poʻe ʻē aʻe ke hoʻopau iā lākou. Eia nō naʻe, ʻaʻole pono ʻoe e kaomi i kēia lāʻau i ka lua. Akā, ʻo ke ala ʻoi loa e hoʻolilo i kāu lāʻau i loko o kahi papahana hoʻihoʻi lāʻau. E kamaʻilio me kāu kauka lāʻau a kāhea paha i kāu ʻōpala a me nā hana hoʻopōʻaiapuni kūloko e aʻo e pili ana i nā papahana hoʻihoʻi i kou kaiāulu. E ʻike i ka pūnaewele palekana o kā FDA's Disposal of Medicines (http://goo.gl/c4Rm4p) no ka ʻike hou aku inā ʻaʻohe ou komo i kahi papahana hoʻihoʻi.

I ke kumu o ka overdose, e kāhea i ka helpline kaohi lāʻau make ma 1-800-222-1222. Loaʻa ka ʻike ma ka pūnaewele ma https://www.poisonhelp.org/help. Inā ua hina ka mea i hoʻomāinoino ʻia, loaʻa ka hopu ʻana, pilikia i ka hanu ʻana, a i ʻole hiki ʻole ke ala aʻe, e kāhea koke i nā lawelawe kūikawā ma 911.

Hiki i nā ʻōuli o ka overdose ke hoʻopili i kēia mau mea:

  • ʻeha ka umauma
  • wikiwiki a i ʻole kaulike ʻole i ka puʻuwai a i ʻole ka lāʻau
  • luliluli ʻole ʻana i kahi ʻāpana o ke kino
  • hopohopo
  • hopohopo
  • ukiuki
  • paʻakikī e hiamoe a hiamoe paha
  • pokole o ka hanu
  • sweating nui loa
  • huikau
  • nalowale o ka ʻike
  • ka hopu ʻana

E mālama i nā manawa a pau me kāu kauka a me ka hale hana. E kauoha kāu kauka i kekahi mau hoʻokolohua lab e nānā i kāu pane iā levothyroxine.

E aʻo i ka inoa inoa a me ka inoa generic o kāu lāʻau. Mai hoʻololi i nā māka me ke kamaʻilio ʻole ʻana me kāu kauka a kauka paha, no ka mea, he ʻokoʻa ka nui o nā lāʻau i kēlā me kēia inoa o ka levothyroxine.

Mai ʻae i kahi mea ʻē aʻe e lawe i kāu lāʻau. E nīnau i kāu kauka lāʻau i nā nīnau āu e pili ana i ka hoʻopiha hou ʻana i kāu kuhikuhi.

He mea nui iā ʻoe e mālama i kahi papa inoa i kākau ʻia a me nā lāʻau lapaʻau ʻole (over-the-counter) lāʻau āu e lawe nei, a me nā huahana e like me nā huaora, nā minelala, a i ʻole nā ​​mea hoʻopiliʻai aʻe. Pono ʻoe e lawe i kēia papa inoa me ʻoe i kēlā me kēia manawa ke kipa ʻoe i ke kauka a i ʻole inā ʻae ʻia ʻoe i kahi haukapila. He ʻike nui nō hoʻi ia e lawe pū me ʻoe inā pilikia ʻo ka pilikia.

  • ʻO Levothroid®
  • Levo-T®
  • Levoxyl®
  • Synthroid®
  • Kahaulelio®
  • Unithroid®

ʻAʻole kēia huahana māka i ka mākeke hou. Hiki ke loaʻa nā koho ʻē aʻe.

Nānā Hou - 02/15/2019

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